Can Submandibular Gland Ptosis be corrected and improved for optimal neck/jawline contour? (photo)

Question

First face/neck lift procedure was 12 yrs. ago. I am 9 months post op of 2nd (revision) face/neck lift. Neck lift results are sub optimal and have not improved. There is submandibular Right side asymmetry fullness/droop. After 2 procedures, I am still unable to surgically obtain a contoured defined neck and jawline. Is the area SMG ptosis and can it be corrected?

Zoran Potparic, MD · Answer

Based on these photos, enlarged and ptotic gland can be the reason for residual deformity. Careful evaluation and even more careful gland resection in skillful hands may be a solution. You need to look for a surgeon familiar with this procedure. Good luck.

Brian K. Machida, MD, FACS · Answer

The resection of the submandibular gland via facelift and submental approach is easier said than done. Going through the platysma can result in recurrent ptosis and going under the platysma carries a higher risk of complication including nerve paralysis. Be careful who you choose to address this problem.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  If physical exam demonstrates this fullness to be limited to the SMG, resection of a portion should be able to achieve an improved jawline appearance.  Hope this helps.

David Shifrin, MD · Answer

yes it appears to be some combination of a submandibular gland and or anterior belly of the digaatric muscle. Impossible to say without looking in surgery. Both can be contoured. The superficial lobe of the gland can be removed safely.Best

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Can Submandibular Gland Ptosis be corrected and improved for optimal neck/jawline contour? (photo)

Answers (4)

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